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1649086778
MARK FORSTROM
CEDAR RAPIDS, IA
NPI
1649086778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IA 105658)
Enumeration Date
2024-12-04
Last Update Date
2024-12-04
Business Address
MARK FORSTROM LMHC
1642 42ND ST NE
CEDAR RAPIDS, IA 52402-3076
Phone number: 319-377-2161
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Mailing Address
MARK FORSTROM LMHC
6704 STONYBROOK LN NE
CEDAR RAPIDS, IA 52402-5942
Phone number: 319-270-2880
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